Permit (39) CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT Permit#: MEC2016-00307
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 05/25/2016
T I t3 A P> 9 Parcel: 1S135AB03400
Jurisdiction: Tigard
Site address: 10260 SW GREENBURG RD 500
Project: Experis Subdivision: METZGER,TOWN OF Lot: 9
Project Description: TI for existing tenant relocating within Lincoln Center. Work includes demolition,wall construction, and new doors.
Contractor: STREIMER SHEET METAL WORKS INC Owner: LINCOLN CENTER LLC
740 N KNOTT STREET BY SHORENSTEIN PROPERTIES LLC
PORTLAND, OR 97227 235 MONTGOMERY ST, 16TH FLOOR
SAN FRANCISCO, CA 94104
PHONE: 503-288-9393 PHONE:
FAX: 503-288-3327
FEES
Specifics: Description Date Amount
Type of Use: SF Permit Fee 05/25/2016 $1,185.91
Class of Work: ALT Type of Const: Ig Plan Review 05/25/2016 $296.48
Occupancy Grp: B Occupancy Load: 12%State Surcharge-Mechanical 05/25/2016 $142.31
Stories: 12 Info Process/Archiving-Lg$2.00(over 05/25/2016 $6.00
11x17)
Project Valuation: $42,960.00 Info Process/Archiving-Sm$0.50(up to 05/25/2016 $1.00
11x17)
Fuel Air Handlers
Fuel Types: Units<10000 cfm:
Gas Pressure: Units>10000 cfm:
Furnaces Boilers&Compressors
Furnaces<100K BTU: 0-3 HP:
Furnaces>= 100K BTU: 3-15 HP:
Floor Furnaces: 15-30 HP:
Unit Heaters: 30-50 HP:
Vents w/o Appliances: 50 or Greater HP:
Air Conditioning:
Heat Pump:
Appliances
Vent Fans: Vent Systems: Total $1,631.70
Hoods: Comm Incinerators:
Required Items and Reports(Conditions)
Woodstoves: Gas Fireplaces:
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc: Ductless split
Duct Work: 1 system
Fire/Smoke Dampers:
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-009 You may obt 'n a opy of the rules
or direct qu ns to UNC b a •ng 503.232.1987 or 1.800.332.2344.
Issued y: ,� / / ,/ � Permittee Signature: /t
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Mechanical Permit Application FOR OFFICE USE ONLY'
Cl of Tigard Received Permit No.:
13125rSW Hall lvd.,Tigard,OR 97E��'� Date/By: Y AT/l�p �&t1Ro t(pj1o7
Phone: 503.718.2439 Fax: 503.598.1960 QR 2 8 2016 Daan>By. �`7( Other Peranit: q/_ /2O//_,. y�*/,2
T I G A R D Inspection Line: 503.639.4175ADate R Iuris: /®J�Sleee Page 2 foru (�.LJ{D
Internet: www.tigard-or.gov OF TIGARD Notified/Method: �' /(e 6,77._
, / Supplemental Information
CITY TIG
i 6`Y
TYPE OF «G DIVISION (�-alt I.�✓1"'--"COMMERCIAL FEE* SCHEDULE -USE,CHIvCKI.IST:
Mechanical permit fees*are based on the value of the work
❑New construction Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit.
Value:$ L-/7- Cf'6D (J p
•
CATEGORY OF'CONSTRUCTION RESIDENTIAL EQUIPMENT I SYSTEMS FEES".
❑ 1-and 2-family dwelling Commercial/industrial 0 Accessory building For special information use checklist.
0 Multi-family ❑ Master builder 0 Other: Description _ Qty. Ea. Total
JOH SITE INFORMATION:AND LOCATION. Heating/cooling:
Air conditioning 46.75
Job site address: /p2.-ig p S(..4,2 Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP: T as or, 61)9-;-3 J Furnace 100,000+BTU(ducts/vents) 54.91
..../ I Heat pump 61.06
Suite/bldg./apt.no.:5^fn Project name: Su 1 4-G 5-D0 �J,,,,e,(,u.S Duct work 23.32
Cross street/directions to job site: Hydropic hot water system 23.32
Residential boiler(radiator or
L!h -o 1n dW e-(' hydronic) 23.32
Unit heaters(fuel-type,not electric),
in-wall,in-duct,suspended,etc. 46.75
Flue/vent for any of above 23.32
Subdivision: Lot no.: Other: 23.32
Other fuel appliances:
Tax map/parcel no.: Water heater 23.32
DESCRIPTION OF WORK Gas fireplace/insert 33.39
Flue vent for water heater or gas
/7/ A . �eK1:t,0yt .-I'µD f-tbUC° /�) r- fireplace 23.32
/ Log lighter(gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
Other: 23.32
PROPERTY OWNER " 0 TENANT
Environmental exhaust and ventilation:
Name: < 4 o fc^S7`c,l�. Range hood/other kitchen
equipment 33.39
Address: /d y?-O S/ ) f•.teelAv,q gd Clothes dryer exhaust 33.39
City/State/ZIP: "F/41,1 �i Single-duct exhaust(bathrooms,
/ v,'. �'I2.->-3 toilet compartments,utility rooms) 23.32
Phone:n)3 ), /q - 3/Ur, Fax:(5 03 ) 6/14- 3�
/O Attic/crawispace fans 23.32
. _ . 23 32
r CONTACT PERSON
PEICtII,. Other:
Fuel piping:
Business name: E.77-.0/ P, 5/C.4, i tela. 1 $14.15 for first four;$4.03 for each additional
Contact name: Pu / G li4.4..1. Furnace,etc.
Gas heat pump
Address: 74/O N se/'j 0 i4 5 t Wall/suspended/unit heater
City/State/ZIP: Pry / or- 5''7 y 7 Water heater
9393 Fax: :( 3 Fireplace
Phone:(503) 7' 8$- S+ ) Z�ld-33 Z7 Range
E-mail: /.. _L.4/e,l& 3-r/-4,/,44 ,--, Go H Barbecue
NT A
Mat. Clothes dryer(gas)
Business name: .....c-74--/-el-,44 ,SA MGA i Other:
y MECHANICAL PERMIT FEES?*
Address: it D ".. , ,n a S)-- Subtotal // - , ig
I'
City/State/ZIP: / Minimum permit fee($90.00)
9��u �r C'7 6
Plan review(25%of permit fee) )44,).7-- '
Phone:
44,).7-
Phone:(54 ) ?- g-139-, Fax:(5a3) yPrir 3 3>7 State surcharge(12%of permit fee) l4I.,11
CCB lic.: 7►3 e f TOTAL PERMIT FEE /{ 3,3 a
This permit application expires if a permit is not obtained within 180
/41"• e1 /l✓ days after it has been accepted as complete.
Authorized signature: /P�""1`� QOM *JFee methodology set by Tri-County Building Industry Service Board
Print name: /1-u) to"'�e..T Date: (.4/1$116 /)1 5 PeI*i t 11 r3up 316 -04041
I:\Building\Permits\MEC_PermitApp_040113.doc 440-4617T(1 I/002/COM/WEB)
Location:
Record Type:
Inspection Type:
Result:
Comments:
Inspection Date:
Record ID:
Inspector:
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
10260 SW GREENBURG RD 500, TIGARD, OR,
97223
Commercial - Mechanical
699 Mechanical final
PASS - No C of O
MEC2016-00307
Chip Barnett
Violation Summary:
Inspector Contractor
Location:
Record Type:
Inspection Type:
Result:
Comments:
Inspection Date:
Record ID:
Inspector:
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
10260 SW GREENBURG RD 500, TIGARD, OR,
97223
Commercial - Mechanical
699 Mechanical final
PASS - No C of O
June 22, 2016 at 12:08:50 PM
MEC2016-00307
Jeff Grove
Violation Summary:
Inspector Contractor